Clinical Coverage/Medical Policy Updates
WellCare of North Carolina updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.
Policy Updates
- WNC.CP.202 Heart (Cardiac) Transplantation (PDF)
- WNC.CP.203 Kidney (Renal) Transplantation (PDF)
- WNC.CP.204 Liver Transplantation (PDF)
- WNC.CP.246 Small Bowel and Small Bowel_Liver and Multivisceral Transplants (PDF)
- WNC.CP.247 Pancreas Transplant (PDF)
- WNC.CP.248 Islet Cell Transplantation (PDF)
- WNC.CP.249 Lung Transplantation (PDF)
- WNC.CP.250 Heart_Lung Transplantation (PDF)
- WNC.CP.102 Family Planning Service (PDF)
- WNC.CP.152 Polymerase Chain Reaction Respiratory Viral Panel Testing (PDF)
- WNC.CP.126 Urinary Incontinence Devices and Treatments (PDF)
- WNC.CP.162 Hyperhidrosis Treatments (PDF)
- WNC.CP.163 NICU Discharge Guidelines (PDF)
- WNC.CP.164 NICU Apnea Bradycardia Discharge Guidelines (PDF)
- WNC.CP.167 Neonatal Sepsis Management (PDF)
- WNC.CP.168 Neonatal Abstinence Syndrome Guidelines (PDF)
- WNC.CP.189 Rhinoplasty and or Septoplasty (PDF)
- WNC.CP.222 Skin Substitutes (PDF)
- WNC.CP.257 Special Ophthalmological Services (PDF)
- WNC.CP.291 Outpatient Specialized Therapies (PDF)
- WNC.CP.300 Casgevy Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.301 Lyfgenia Pharmacy Prior Approval Criteria (PDF)
- WNC.CP.302 Zolgensma Pharmacy Prior Approval Criteria (PDF)